Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Ellsworth, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740127729

Benjamin Ellsworth, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1441 N 12th St Fl 3
Phoenix, AZ 85006-2837
Phone: (602) 521-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740127729
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1441 N 12th St Fl 3, Phoenix, AZ 85006-2837

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